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... Professional provides support to assigned health plan and/or specialty companies relative ... on regulations for all assigned health plans. Ensures that assigned health plans are meeting or exceeding .....
... solutions, ensuring the member's utmost health and safety. De-escalation skills are ... solutions, ensuring the member's utmost health and safety. De-escalation skills are ... following heavy or high volume..
Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
Description The Large Group Medical Underwriter computes rates for both renewing and prospective moderate to complex group accounts. The Large Group Underwriter 2 work assignments are varied and frequently require interpretation ..
... of work level equivalent experience Health & Life Insurance Licenses (or ability to obtain ... Qualifications Experience with the healthcare insurance industry, with sales related experience ... able to..
Description The Director of Operations - Inside Sales is responsible for accomplishing enterprise wide growth objectives through operational and technology transformation and by gaining a competitive edge in the marketplace by ..
Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assignments centered ..
Description The Risk Adjustment Representative 2 (Medical Record Retrieval Rep) performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments Responsibilities Be a part of ..
Description The Senior Health Information Management Professional ensures data ... for claims errors. The Senior Health Information Management Professional work assignments ... variable factors. Responsibilities The Senior Health Information Management..
Description The Senior Demand and Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Demand and Portfolio Management Professional work assignments involve ..
Description The Senior Portfolio Management Professional collaborates with the business portfolio team to align the IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex ..
Description Responsibilities The Care Management Support Assistant 2- ACD Referral Coordinator-will process referrals from Military Treatment Facilities (MTFs) and civilian providers for the ACD program. The ACD Referral Coordinator performs varied ..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description The Senior Product Manager, Commercial Product supports development, delivery, and management of the pre-retiree product portfolio on behalf of both the Employer and Group Medicare businesses. By participating in and ..
